Starfield B
Division of Health Policy, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD.
Bull N Y Acad Med. 1992 Jan-Feb;68(1):17-24.
Two major points derive from this paper. First, the search for mechanisms of action of poverty is likely to be facilitated by a focus on the poor and lower classes and on poor white children as well as on poor minority children. Second, new ways to characterize illness and health are needed to clarify the nature and extent of the impact of poverty on children and to assess the effectiveness of strategies to reduce the disadvantage that derives from it.
本文得出两个要点。第一,关注贫困人群、下层阶级、贫困白人儿童以及贫困少数族裔儿童,可能有助于探寻贫困的作用机制。第二,需要采用新方法来界定疾病与健康,以阐明贫困对儿童影响的性质和程度,并评估减少贫困所致不利影响的策略的有效性。